@article{fdi:010082638,
  title = {{I}ntroducing and implementing {HIV} self-testing in {C}ote d'{I}voire, {M}ali, and {S}enegal : what can we learn from {ATLAS} project activity reports in the context of the {COVID}-19 crisis ?},
  author = {{K}ra, {A}. {K}. and {C}olin, {G}. and {D}iop, {P}. {M}. and {F}otso, {A}. {S}. and {R}ouveau, {N}icolas and {H}erve, {K}. {K}. and {G}eoffroy, {O}. and {D}iallo, {B}. and {K}abemba, {O}. {K}. and {D}ieng, {B}. and {D}iallo, {S}. and {V}autier, {A}. and {L}armarange, {J}oseph and {ATLAS} {T}eam},
  editor = {},
  language = {{ENG}},
  abstract = {{B}ackground: {T}he {ATLAS} program promotes and implements {HIVST} in {C}ote d'{I}voire, {M}ali, and {S}enegal. {P}riority groups include members of key populations-female sex workers ({FSW}), men having sex with men ({MSM}), and people who use drugs ({PWUD})-and their partners and relatives. {HIVST} distribution activities, which began in mid-2019, were impacted in early 2020 by the {COVID}-19 pandemic. {M}ethods: {T}his article, focusing only on outreach activities among key populations, analyzes quantitative, and qualitative program data collected during implementation to examine temporal trends in {HIVST} distribution and their evolution in the context of the {COVID}-19 health crisis. {S}pecifically, we investigated the impact on, the adaptation of and the disruption of field activities. {R}esults: {I}n all three countries, the pre-{COVID}-19 period was marked by a gradual increase in {HIVST} distribution. {T}he period corresponding to the initial emergency response ({M}arch-{M}ay 2020) witnessed an important disruption of activities: a total suspension in {S}enegal, a significant decline in {C}ote d'{I}voire, and a less pronounced decrease in {M}ali. {S}econdary distribution was also negatively impacted. {P}eer educators showed resilience and adapted by relocating from public to private areas, reducing group sizes, moving night activities to the daytime, increasing the use of social networks, integrating hygiene measures, and promoting assisted {HIVST} as an alternative to conventional rapid testing. {F}rom {J}une 2020 onward, with the routine management of the {COVID}-19 pandemic, a catch-up phenomenon was observed with the resumption of activities in {S}enegal, the opening of new distribution sites, a rebound in the number of distributed {HIVST} kits, a resurgence in larger group activities, and a rebound in the average number of distributed {HIVST} kits per primary contact. {C}onclusions: {A}lthough imperfect, the program data provide useful information to describe changes in the implementation of {HIVST} outreach activities over time. {T}he impact of the {COVID}-19 pandemic on {HIVST} distribution among key populations was visible in the monthly activity reports. {F}ocus groups and individual interviews allowed us to document the adaptations made by peer educators, with variations across countries and populations. {T}hese adaptations demonstrate the resilience and learning capacities of peer educators and key populations.},
  keywords = {{HIV} self-testing ; {COVID}-19 ; {W}est {A}frica ; {C}ote d'{I}voire ; {M}ali ; {S}enegal ; key populations ; {COTE} {D}'{IVOIRE} ; {MALI} ; {SENEGAL}},
  booktitle = {},
  journal = {{F}rontiers in {P}ublic {H}ealth},
  volume = {9},
  numero = {},
  pages = {653565 [14 ]},
  year = {2021},
  DOI = {10.3389/fpubh.2021.653565},
  URL = {https://www.documentation.ird.fr/hor/fdi:010082638},
}